User Manual
Table Of Contents
- Manufacturer
- Identification and Publication Details
- Regulatory
- Explanation of Symbols
- Conventions
- Important Information
- About
- Intended Use
- Compatibility
- Indications for Use
- Contra-indications
- Training
- Safety
- Electromagnetic Compatibility (EMC)
- Using Batteries Safely
- Examining the Shipment
- Initial Setup
- Rear Panel Connections
- Understanding Battery Operations
- Understanding Wireless Network Operations
- Advanced User Options
- Accessory List
- System Overview
- Getting Started
- Alarms
- Monitoring ECG
- ECG Monitoring Considerations for the MR Environment
- wECG Module and ECG Lead Cable
- Quadtrode Electrodes
- Work Flow for ECG Monitoring
- Selecting the ECG Lead Cable and Quadtrode Electrode Type
- Identifying the Placement Site for the Quadtrode Electrode
- Preparing the Quadtrode Electrode Site
- Attaching the ECG Lead Cable
- Checking the ECG Signal Strength
- Minimizing ECG Waveform Noise
- Positioning the ECG Lead Cable and wECG Module for Scanning
- ECG Waveforms and VS Box
- ECG Menu
- Monitoring SPO2
- Monitoring CO2 (LoFlo Option)
- Monitoring Invasive Blood Pressure
- Indications and Contraindications
- Patient Preparation for IBP Monitoring
- Transducer Component, Connection, and Feature Locations
- MR 400 Preparation for IBP Monitoring
- Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)
- I. Connecting the Reusable Cable to the MR400
- II. Kit Set Up
- III. Purging Air from the Monitoring Line
- IV. Zeroing, Leveling and Calibration
- V. Connecting the Monitoring Kit to the Patient
- The IBP transducer must not be mounted to the patient, or patient burn may result.
- VI. Fast Flushing
- VII. Checking for Leaks
- VIII. In the MR Room
- Neonatal Patients: Expression MR IBP DPT Kit, I/N (REF 989803194641)
- Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)
- Zeroing the Pressure Transducer
- P1 (and P2) Menu
- Monitoring Agents and Gases (AGENT Option)
- Monitoring RESP
- Monitoring Temperature
- Monitoring NIBP
- Trend Data and Printing
- Maintenance and Troubleshooting
- General Cleaning Guidelines
- Removing all Power to the MR400
- Removing Power from the Wireless Modules
- User Routine-Checks and Planned Maintenance
- Cleaning, Disinfection, and Damage Inspection
- Sterilization
- Testing Alarms
- Testing a Dropped Wireless Module
- Verification Testing
- Anesthetic Oxygen (O2) Sensor Depletion
- Updating Software
- Calibrating the Touch Screen
- Troubleshooting
- Repair
- Environmental Requirements
- Passing the Product on to another User
- Final Disposal of the Product
- Specifications
- Warranty
- Regulatory Information
- Gating Feature
- Guidelines and References
12‐2MonitoringNIBPExpressionMR400InstructionsforUse
CAUTIONS
• Substitution of components or accessories different from those supplied or recommended
can result in measurement errors.
• NIBP accuracy has not been verified in the presence of some common arrhythmias such as
atrial or ventricular premature beats or atrial fibrillation.
Patient Preparation for NIBP Monitoring
WARNINGS
• The NIBP cuff inflation rate may increase and the initial pressure may increase up to
180 mmHg when changing the patient type.
• Patient Category: Select the correct patient category setting for your patient. Do not
apply the higher adult inflation, overpressure limits and measurement duration to
neonatal patients as this may result in inaccurate readings or patient injury.
ThePatientTypeshouldbeselected,asthissettingdeterminestheinflationpressuresofthe
NIBPcuff,readingtimesandappropriatealarmlimitrange.
Whenpositioningthepatient,routineNIBPmeasurements(includingforthecondition
hypertension)requirethepatienttoremainsilent,stilland relaxed,withlegsuncrossedand
arms
supported.NotethatduringMRIprocedures,patientsaretypicallylayingdownwiththeirlegs
uncrossedandarmssupportedasneededfortheMRIscan,anda5‐minutewaitingperiodisalso
recommendedbeforestartingreadings.Ensurethatthecuffisattheleveloftherightatriumof
the
heart.
Insomecases,apatientmayexhibitalowpulseamplitudeduetoanyofthefollowing
conditions.Thelistprovidesonlysomeexamplesofpotentialcausesoflowpulseamplitudesthat
canmakeNIBPdifficulttomeasureinaconvenientandtimelymanner:
• Medication
•Sedation
•Diseaseorillness
• Physiologicalorneurologicalconditions
•Obesity(oranyoccurrenceofmetabolismwithextremevariations)
• Stress
•Size